Organization
LULU SEXUAL MEDICINE PLLC
Active
Organization
LULU SEXUAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY BLASI (OWNER)
(702) 574-4095
Entity
Organization
Contact information
Practice address
2110 E FLAMINGO RD STE 105, LAS VEGAS, NV 89119-5191
(702) 574-4095
(702) 935-9005
Mailing address
2110 E FLAMINGO RD STE 105, LAS VEGAS, NV 89119-5191
(702) 574-4095
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
06/14/2023
Last updated
06/22/2024
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